Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $9,560.00 / $20,750.00	Facility		$2,387.00	$9,560.00	$20,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $783.05 / $983.85 / $4,520.03	Professional		$783.05	$983.85	$4,520.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $9,043.00 / $19,398.00	Facility		$1,700.00	$9,043.00	$19,398.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.92 / $1,142.20 / $2,315.04	Professional		$884.92	$1,142.20	$2,315.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $11,539.24	Facility		$67.90	$100.00	$11,539.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $703.63 / $1,057.23 / $2,450.33	Professional		$703.63	$1,057.23	$2,450.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,461.93 / $10,261.32	Facility		$732.00	$3,461.93	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.07 / $1,156.79 / $2,606.84	Professional		$837.07	$1,156.79	$2,606.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,080.41 / $1,458.55	Professional		$674.61	$1,080.41	$1,458.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.47 / $1,161.74 / $2,355.29	Professional		$885.47	$1,161.74	$2,355.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,022.31 / $16,547.20 / $26,542.00	Facility		$6,022.31	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,628.67 / $9,862.15 / $9,862.15	Professional		$8,628.67	$9,862.15	$9,862.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,328.17	Professional		$32.34	$32.34	$1,328.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $906.19 / $1,193.38 / $1,781.03	Facility		$906.19	$1,193.38	$1,781.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $854.81 / $1,238.50 / $2,510.03	Professional		$854.81	$1,238.50	$2,510.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,092.00 / $3,092.00 / $3,092.00	Professional		$3,092.00	$3,092.00	$3,092.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $981.23 / $1,214.29	Professional		$674.61	$981.23	$1,214.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $11,228.00 / $26,109.00	Facility		$2,673.00	$11,228.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $736.02 / $1,012.81 / $2,339.03	Professional		$736.02	$1,012.81	$2,339.03